A Middle-Aged Man With Multiple Red Flags: How Would You Proceed?

A Middle-Aged Man With Multiple Red Flags: How Would You Proceed?

Jose is 47-year-old Hispanic man who comes to your office for a “check up.” His only symptom is that he notices he does not have the energy he once had but thinks “it’s because of his weight.” He has worked at a desk for 3 years and has gained 12 pounds.

He has several paternal aunts and uncles with type 2 diabetes mellitus, and his father died at age 49 of an MI. His BMI is 29; blood pressure, 143/88 mm Hg; waist circumference, is 42 inches.

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